2004 AE by vSbWKZ2S

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									Annual Enrollment Meeting
       Summer 2004



                            1
Presented by UT Arlington
Office of Human Resources


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     Annual Enrollment 2004
Today’s Discussion
   • Annual Enrollment Highlights
   • Plan and Premium Changes
   • Benefits Changes
   • Current Benefits
   • Enrolling or making changes
   • Annual Enrollment Reminders
   • Employee Assistance




                                    3
Annual Enrollment Highlights
•UT Select PPO will remain with no plan changes and a
4.5% increase in dependent level premiums
•HMO Blue will remain with no plan changes and a
10.6% increase in dependent level premiums
•UT Flex will be administered by PayFlex Systems and
offers many new enhancements
•Fort Dearborn Life will administer life insurance
programs with increased options and 17% reduction in
premiums
•UT Touch telephone enrollment no longer available      4
Optional Coverage Premium
         Changes
Coverage Type          % Changes in Out-of-Pocket Cost
Dental                 No Increase in Premiums
Vision                 No Increase in Premiums

Term Life :            Substantial decrease of 17%

Accidental Death and   Decrease from $.17 to $.16 per $10,000
Dismemberment
S/T Disability         No Increase in Premiums
L/T Disability         No Increase in Premiums
Long Term Care         No Increase in Premiums

                                                                5
   ½ Premium Sharing for
Subscribers who Waive Medical

  Full Time Subscribers     $150.92

  Part Time Subscribers     $ 75.46

  Must show proof of other group medical coverage


                                                    6
Overview of Benefit Changes


  Term Life and AD&D Insurance

           UT FLEX




                                 7
          Term Life Insurance
• New Carrier-Fort Dearborn Life
• Decreased monthly premium rates for
  employee, spouse, and dependents
• Employee must be enrolled in one of the UT Medical
  Plans (UT Select or HMO Blue) to receive the
  $10,000 Basic Term Life provided by the University



                                                       8
         Term Life Insurance
• Voluntary Group Term Life Insurance may be
  purchased regardless of participation in UT Medical
  Plans
• Must purchase Voluntary Term Life Insurance to
  purchase dependent life insurance
• The flat $50,000 option is being eliminated
• May enroll for $10,000 dependent life without an
  EOI this year only
                                                        9
          Term Life Insurance

• Employees may increase up to 6x salary or $1,510,000
  ($10,000 Basic GTL plus $1,500,000 Voluntary GTL)
• Must do Evidence of Insurability (EOI) which is
  subject to approval
• Please consult the Certificate of Coverage for specific
  benefits and/or exclusions
• Information available on www.fdl-life.com/ut



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                Term Life Insurance
Employee Basic Term Life        Employee Voluntary Term Life Options
$10,000 Basic                   1x Annual Salary
                                2x Annual Salary
                                3x Annual Salary
                                4x Annual Salary
                                5x Annual Salary
                                6x Annual Salary
Basic Term Life is provided     These amounts are in addition to the Basic
only to employees who are       $10,000 provided to employees enrolled in
enrolled in a UT medical plan   a UT medical plan

                                                                             11
             Term Life Insurance
                                    Dependent Term Life Options

Employees must have at least        $10,000 Dependent Life (Spouse
coverage of 1x Salary and $10,000   and/or child(ren))
Dependent Life to request           $15,000 Voluntary – Spousal Life
additional Voluntary Spousal        ($10,000 + $15,000 = $25,000)
amounts
                                    $40,000 Voluntary –Spousal Life
                                    ($10,000 + $40,000 = $50,000)
         Term Life Insurance
• Retirees must be enrolled in one of the UT Medical
  Plans (UT Select or HMO Blue) to receive the
  $3,000 Basic Term Life provided by the University
• Retirees may increase their coverage to $7,000,
  $10,000, $25,000, and $50,000
• Retirees may now purchase Voluntary Term Life
  Insurance regardless of participation in a UT medical
  plan, retirement date, or length of service

                                                          13
               Term Life Insurance
Retiree Basic Term Life             Retiree Voluntary Term Life Options
$3,000 Basic                        $7,000     (EOI Required)
                                    $10,000    (EOI Required)
                                    $25,000    (EOI Required)
                                    $50,000    (EOI Required)

Basic Term Life is provided only    These amounts are in addition to the
to retirees who are enrolled in a   Basic $3,000 provided to retirees
UT medical plan
                                    enrolled in a UT medical plan

                                                                           14
        Accidental Death and
          Dismemberment
•New Carrier-Fort Dearborn Life

•Employee must be enrolled in one of the UT Medical
Plans (UT Select or HMO Blue) to receive the $10,000
Basic Term Life provided by the University




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            Accidental Death and
              Dismemberment
Employee Basic AD&D             Employee Voluntary AD&D Options

$10,000 Basic AD&D              Up to 10x Annual Salary or $1,000,000,
                                whichever is less




Basic AD&D is provided only     These amounts are in addition to the Basic
to employees who are enrolled   AD&D of $10,000 provided to employees
in a UT medical plan            enrolled in a UT medical plan
                                                                             16
            Accidental Death and
              Dismemberment
Dependent Voluntary AD&D
Options
Spouse                       The lesser of $500,000 or 50% of the
                             employee’s voluntary coverage Coverage is
                             purchased in increments of $10,000


Dependent                    $10,000


Employees must have at least $20,000 Voluntary AD&D coverage to be
eligible for Voluntary Spouse AD&D coverage or Voluntary Dependent
AD&D
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   Life Insurance Beneficiary
          Designations
• All employees and retirees must complete a new
  beneficiary designation form during Annual
  Enrollment
• Form link attached to UT Touch
• Return form to UT Arlington Benefits




                                                   18
Term Life and AD&D Insurance
          Reminders
• Majority of employees and retirees will receive the same level
  of coverage as they currently have
• Employees who will have coverage changes will receive
  individual notices from UT Employee Group Insurance
• Requests for increasing life insurance requires Evidence of
  Insurability (EOI)
• EOI must be submitted no later than 5:00 pm on Friday, July 30,
  2004
• Please consult the Certificate of Coverage for specific benefits
  and/or exclusions
                                                                     19
                 UT FLEX
• PayFlex is the new administrator
• UT Flex plan enables you to set aside money
  on a pre-tax basis to pay for certain eligible
  medical and dependent day care expenses
• Reduces taxes and increases your spendable
  income

                                                   20
                      UT FLEX
Medical Reimbursement Account
• $5,000 Maximum per plan year (Sept. 1 – Aug. 31)
• Eligible expenses
   – Deductibles, co-pays, coinsurance
   – Prescription drugs
   – Chiropractor treatments
   – Dental services
   – Eye exams and prescription eyeglasses
   – Contact lenses and cleaning solutions
    – Hearing aids and batteries
                                                     21
                          UT FLEX
Dependent Day Care Reimbursement Account
•   $5,000 Maximum per plan year (Sept. 1 – Aug. 31)
•   $5,000 Maximum per calendar year (Jan. 1 – Dec. 31)
•   Eligible expenses
     – Incurred to enable you to be gainfully employed
     – Expenses incurred for a qualifying individual
          • Dependent under the age of 13
          • Spouse or other dependent (physically or mentally incapable,
             take exemption)
     – Service must be provided by eligible provider of care
          • Licensed day care; and any individual who is not a tax
             dependent or a child of yours 19 years of age or older
     – Expense must be for service rendered not billed or prepaid
                                                                           22
               UT FLEX
UT FLEX offers several enhanced features
  – New flex convenience card for Medical
    Reimbursement Account
  – Over-the-counter drugs eligible 9/1/04
  – Daily processing of claims


                                             23
               UT FLEX
            Convenience Card
• Works like a “debit card” and is pre-loaded
  with annual election amount; may use
  anywhere a Mastercard is accepted
• For Medical Reimbursement Account only
• Improves personal cash flow and it’s easy to
  use
• Flex convenience card must be elected on UT
  Touch during Annual Enrollment
                                                 24
                 UT FLEX
             Convenience Card
• Annual charge of $9 for the card after first
  deposit taken from account balance
• Save receipts for over-the-counter drugs
• Brochure available




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                           UT FLEX
    Over-the-Counter Drugs Reimbursable
•    Eligible expenses incurred on or after 9/1/04
•    Examples of reimbursable expenses
      – Pain relievers, such as aspirin and acetaminophen (Bayer, Tylenol,
          etc)
      – Cold remedies, including nasal sprays and cough syrups
      – Eye drops
      – Antacids
      – First-aid antibiotic ointments and creams
      – Stop smoking gums and patches
•    Participants should keep receipts of over-the-counter items purchased

                                                                             26
                   UT FLEX
        Improved claims processing
• Claims will be processed on a daily basis
• Checks issued by mail or direct deposit within 72
  hours
• For direct deposit, all participants must complete a
  new form available on www.utflex.com
   – Please complete the form and attach a “voided”
     check
   – Return to PayFlex by mail or toll-free fax
                                                         27
UT FLEX Important Reminders
• Employees must re-enroll each year
• Each account (Medical Reimbursement and
  Dependent Day Care) has a maximum contribution of
  $5,000 per plan year
• Minimum $15 per month to maximum of $416 per
  month ($555 for 9 month employees)
• Per IRS regulations, dependent day care deductions
  cannot exceed $5,000 in any calendar year
• For Dependent Day Care Reimbursement Account
  both parents must be working
                                                       28
UT FLEX Important Reminders
• Use it or lose it!! Any amounts not used during the
  plan year will be forfeited
• Estimate expenses conservatively
• Information and helpful planning calculators are
  available at www.utflex.com
• Toll Free 1-866-UTS-FLEX
• All claims for current year (9/1/03 to 8/31/04) must
  be filed with FlexBen no later than 11/30/04


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Highlights of Current Benefits




                                 30
             UT SELECT
• Family Care Physician copayment   $25
• Specialist Physician copayment    $30
• Inpatient copayment               $100/day
  ($500 maximum per occurrence)
• Outpatient Surgical copayment     $100
• ER copayment                      $100

                                               31
            UT SELECT

• Annual Deductible
  – In-Network    $250/person - $750/family
  – Non-Network   $500/person - $1500/family
• Coinsurance
  – In-Network    80%
  – Non-Network   60%


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                UT SELECT

•Annual Out-of-Pocket Maximums
  –In-Network    $1,750/person-$5,250 per family
  –Non-Network   $4,000/person-$12,000 per family




                                                    33
             HMO Blue

• PCP copayment            $25
• Specialist copayment     $30
• Inpatient copayment      $100/day
  – ($500 maximum per occurrence)
• Outpatient Surgical copayment $200

                                       34
             HMO Blue

• ER copayment $100
• Maximum Out-of-Pocket Copayment
  – $2,500 per person/$5,000 per family




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        Pharmacy Benefits

• $50 Deductible Retail or Mail Order
• Retail Pharmacy Copayment
  – $10 Generic
  – $25 Preferred Drug
  – $40 Non-Preferred Drug


                                        36
        Pharmacy Benefits

• Mail Order Pharmacy Copayment
  – $20 Generic
  – $50 Preferred Drug
  – $80 Non-Preferred Drug



                                  37
                   DENTAL
• Fortis Dental (Dental HMO)
  – Recent acquired by Assurant benefits
  – No benefit changes or premium increases
     •   Care provided by or thru PCD
     •   No Deductible
     •   Copays vary by services
     •   No annual benefit maximum

                                              38
                  DENTAL
• UT DENTAL SELECT / Delta Dental
  – No benefit changes or premium increases
     • $25 annual deductible
     • 20% coinsurance for Basic services (fillings,
       extractions)
     • 50% coinsurance for Major services (crowns,
       bridges)
     • $1,000 annual benefit maximum


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                       VISION
•   Superior Vision
•   Eye exam covered in full after $35 copay
•   Standard lenses covered in full
•   Frames covered up to $140
•   In-network elective contact lenses up to $125
•   No premium increases


                                                    40
         Short Term Disability
• New carrier Hartford
• Provides 60% of weekly earnings up to a maximum
  benefit of $693.00 per week subject to reduction by
  deductible sources of income
• Pre-existing limitation exist
• 30-day elimination period, both sickness and accident
• 22 weeks of benefits
• Employee must exhaust all sick-leave before benefits
  are payable
                                                          41
        Long Term Disability
• New carrier Hartford
• 60% of your monthly earnings up to a
  maximum benefit of $12,025 per month,
  subject to the deductible sources of income
• 90-day elimination period, or end of
  accumulated leave
• Typically pays until age 65 or no longer
  disabled
                                                42
   Short Term and Long Term
           Disability
• Please consult the Certificate of Coverage for
  specific benefits and/or exclusions
• Requires EOI to be submitted no later than
  5:00 pm on Friday, July 30, 2004



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                 How to Enroll
• Review options and follow instructions in your
  Coverage Option Letter
• UT Touch
   – PIN provided in coverage option letter
   – http://utdirect.utexas.edu/uttouch
• UT Touch Direct
   – High Assurance UT EID required
   – http://utdirect.utexas.edu/uttouchdirect
• Complete online enrollment and any necessary forms
  such as beneficiary designation form or EOI forms
                                                       44
 Annual Enrollment Reminders
• Annual Enrollment ends July 31, 2004
• Must enroll via online system
• Each employee and retiree must complete a
  new designation of beneficiary form for term
  life
• EOI forms due 5:00 pm on Friday, July 30,
  2004
• Save receipts for UT FLEX
                                                 45
Annual Enrollment Reminders
• EOI required when:
   – Adding dependents to UT Select that
     currently do not have medical coverage
   – Increasing employee and retiree term life
     and spousal term life
   – Adding STD and LTD
   – Adding Long Term Care
                                                 46
Employee Assistance
  Office of Human Resources
        Wetsel Building
 1225 West Mitchell, Suite 212
          Box 19176
        (817) 272-5558
       Benefits@uta.edu



                                 47
                    Employee Assistance
                      Benefits Staff
            Robert James          extension 24064      rdjames@uta.edu
(A-F)       Judy Oslund           extension 24212      joslund@uta.edu
(G-L)       Barbra McCombs        extension 24741      mccombs@uta.edu
(M-R)       Sharon Thompson       extension 24202      sthompson@uta.edu
(S-Z)       Yvette Rodriguez      extension 24199      yvette@uta.edu
To better assist you:
Benefits Representatives are assigned employees based on the first letter of the
employee’s last name
You may request individual appointments with a Benefits Representative by contacting
the Office of Human Resources or the representative directly
Appointments are available from 10 am to 3pm daily throughout the month of July




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